ESTATE PLANNING WORKSHEET

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1 ESTATE PLANNING WORKSHEET Prospective Client- In order to best serve you and your interests, complete and return this packet as soon as possible. This will allow us to understand the specifics of your situation in order to prepare for your Legacy Planning Session. To maximize your meeting, we ask that you send this worksheet back prior to your Legacy Planning Session. You can send it in the mail, or scan and it to If you send it using regular mail, be sure to allow sufficient time for it to be delivered prior to your meeting. In order to complete this packet, you will need to compile basic personal information, asset information, and family information. Everything that is in this packet is necessary to ensure an efficient and effective estate planning process for you and your family. Be as complete as possible in filling out the personal information. When listing assets and income, it is not imperative that every figure be exact, but it is important that you provide as much information as possible. Call our office at the number listed below if you have any questions or need any assistance. Sincerely, Christee Nabor Voyant Legal Page 1 of 7

2 ALL INFORMATION PROVIDED IS STRICTLY CONFIDENTIAL PERSONAL INFORMATION Client s Full Legal Name: (name most often used to title property and accounts) Also Known As: (other names used to title property and accounts) Prefer to be called: Birth date: US Citizen? Home Address: City: State: Zip: Home Telephone: Cell Phone Number: Business Telephone: Address: Occupation: _ Employer: Married: Year of Marriage: or Divorced Widowed Single Cohabiting: Domestic Partnership Registration Filed? Partner s Full Legal Name: (name most often used to title property and accounts) Also Known As: _ (other names used to title property and accounts) Prefer to be called: Birth date: US Citizen? Cell Phone Number: Business Telephone: Address Occupation: Employer: Page 2 of 7

3 CHILDREN AND/OR OTHER BENEFICIARIES Use full legal name for each child. For blended families, please indicate which, if any, party is the only legal guardian. Example: Betty Ann Doe November 1, 2000 Joint/John/Jan Name: Birth Date: Parent(s) Do you have legal arrangements for temporary or long term guardians for minor children in case of accident? Yes No N/A Name: Birth Date: Relationship YOUR PLANNING OBJECTIVES Indicate the level of importance of each of these considerations related to your personal estate plan. More Less Important Important Preserve and Maximize Assets: By minimizing taxes during your life and minimizing estate taxes upon your death By reducing estate administration costs through probate avoidance Avoid or limit Medicaid claims on your assets should you require long-term care By ensuring that your assets are passed to your descendants and not given away to outsiders, such as spouses, creditors or the government Page 3 of 7

4 More Less Important Important Protect You and Your Family: From probate stress and delays of the average 16-month process of probate From healthcare decisions made by people other than those you trust most From claims of divorced spouses to take half of your child or beneficiary s inheritance From the financial immaturity resulting in a quick loss of an inheritance From relatives who would be poor, abusive or dangerous guardians or from foster care From predators who can discover inheritance amounts and target young or vulnerable beneficiaries IMPORTANT ESTATE QUESTIONS Do you have a will or other estate planning document? Please send a copy to us before your planning session Do you have one or more trusts? Please send a copy back with this document to review If married have you and your spouse signed a pre- or post-marriage contract? Please bring a copy to our planning session Do you or any of your beneficiaries have disabilities, serious health problems or other special needs? Do you own a long-term care (nursing home) insurance policy? Are you (or your partner) currently the beneficiary of anyone else s trust? If so, please explain below. ADDITIONAL INFORMATION FROM ABOVE OR ANYTHING ELSE YOU WANT TO TELL ME. Page 4 of 7

5 PROFESSIONAL ADIVORS Indicate which of the following professional advisors you currently use. If you do not currently have an advisor, indicate with N/A. Financial Planner: Accountant: Insurance Agent: INCOME INFORMATION List your income information in the appropriate section below. Indicate future expected Social Security, Pension, or Annuity figures. INCOME: Husband Wife Joint Earned Monthly Income from Labor: Monthly Social Security Income: _ Monthly Pension Income: _ Other Monthly Income: _ How would your income change for the surviving partner if one of you were to pass away? ASSETS INFORMATION REAL PROPERTY TYPE: Property - List any interest in real estate including your family residence, vacation home, time share or vacant land. (Include APN and manner in which title is held if known I.E. Joint Tenant, Community Property, Separate Property, Tenant in Common) Market General Description and/or Address Owner Value Equity Total Page 5 of 7

6 STOCKS, BONDS, AND RETIREMENT PLANS TYPE: Stocks and Bonds - List any and all stocks and bonds you own. If held in a brokerage account, lump them together TYPE: Retirement Plans - Pension (P), Profit Sharing (PS), H.R. 10, IRA, SEP, 401(K), etc. Name of Institution or Investment Type Owner Amount Total CHECKING & SAVINGS ACCOUNTS NOTE: List all accounts, per institution, per owner as a whole number/balance. Example: Alliance Credit Union Husband, Wife, or Joint $50,000 Name of Institution or Investment Owner Balance Total LIFE INSURANCE POLICES AND ANNUITIES TYPE: Term, whole life, split dollar, group life, annuity, etc. Example: All State Insurance Life Insurance Husband, Wife, or Joint $150,000 Insurance Provider Type Owner Amount Total Page 6 of 7

7 OTHER ASSETS TYPE: Business Interests General and Limited Partnerships, Sole Proprietorships, privately owned corporations, professional corporations, oil interests, or farm and ranch interests. TYPE: Anticipated Benefits Gifts or inheritances that you expect to receive at some time in the future; or moneys that you anticipate receiving through a judgment in a lawsuit. TYPE: Owed to you Mortgages or promissory notes payable to you, or other moneys owed to you. TYPE: Personal Property List significant or major personal effects such as jewelry, collections, antiques, etc. and the total value TYPE: Other Other property is any property that you have that does not fit into any listed category. Type or Description Owner Value Total SUMMARY OF VALUES List and total the values from the previous sections and separate the assets by owner. If all assets are owned together, they will each go under Joint. Summation ASSETS Husband Wife Joint Total Assets: $ $ $ Page 7 of 7

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